Interventions Involving Caregivers for Children and Adolescents Following Traumatic Events: A Systematic Review and Meta-Analysis.

IF 5.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Child and Family Psychology Review Pub Date : 2023-03-01 Epub Date: 2022-09-26 DOI:10.1007/s10567-022-00415-2

Katharina Szota, Katharina Louisa Schulte, Hanna Christiansen

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引用次数: 0

Abstract

Although treatment guidelines recommend interventions entailing caregiver involvement for children and adolescents following traumatic experiences, evidence on their effectiveness is inconsistent. The present systematic review and meta-analysis considered possible moderators of their effectiveness.

Method: Eligible studies were (quasi-)randomized controlled trials and efficacy trials published in English or German with participants up to the age of 21 years presenting symptoms of mental disorders due to traumatic experiences. The effectiveness of interventions entailing any kind and extent of caregiver involvement had to be investigated by applying evaluated instruments. PubMed, PsycINFO, ERIC, COCHRANE and PSYNDEX were searched.

Results: A total of 33 studies with 36 independent samples were retrieved. Child- and parent-reports on PTSD, depression, anxiety, ADHD, internalizing, externalizing symptoms and behavior problems were analyzed where available. The pooled effect size is significant and robust at post-treatment for child-reported PTSD, g = - 0.34 (95% CI = - 0.53; - 0.14), parent-reported PTSD, g = - 0.41 (95% CI = - 0.71; - 0.11), child-reported depression, g = - 0.29 (95% CI = - 0.46; - 0.11), child-reported anxiety, g = - 0.25 (95% CI = - 0.42; - 0.08), and parent-reported internalizing symptoms, g = - 0.27 (95% CI = - 0.47; - 0.07). Female sex and fulfilling diagnostic criteria appeared as potential moderators. The only significant effect size at follow-up is found for child-reported PTSD symptoms 12 months post-treatment, g = - 0.37 (95% CI = - 0.67; - 0.07).

Conclusions: Interventions entailing caregiver involvement revealed greater symptom reductions than control conditions. Determinants of their effectiveness should be examined further.

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创伤事件后儿童和青少年照顾者参与的干预措施：系统回顾与元分析》。

尽管治疗指南建议对有创伤经历的儿童和青少年采取需要照顾者参与的干预措施，但有关其有效性的证据并不一致。本系统综述和荟萃分析考虑了干预效果的可能调节因素：符合条件的研究均为以英语或德语发表的（准）随机对照试验和疗效试验，参与者年龄不超过 21 岁，因创伤经历而出现精神障碍症状。必须使用经评估的工具来调查需要照顾者参与的任何形式和程度的干预措施的有效性。对 PubMed、PsycINFO、ERIC、COCHRANE 和 PSYNDEX 进行了检索：结果：共检索到 33 项研究，36 个独立样本。分析了儿童和家长关于创伤后应激障碍、抑郁、焦虑、多动症、内化症状、外化症状和行为问题的报告（如有）。在治疗后，儿童报告的创伤后应激障碍（g = - 0.34 (95% CI = - 0.53; - 0.14)）、家长报告的创伤后应激障碍（g = - 0.41 (95% CI = - 0.71; - 0.11), 儿童报告的抑郁，g = - 0.29 (95% CI = - 0.46; - 0.11), 儿童报告的焦虑，g = - 0.25 (95% CI = - 0.42; - 0.08), 和家长报告的内化症状，g = - 0.27 (95% CI = - 0.47; - 0.07)。女性性别和符合诊断标准是潜在的调节因素。在治疗后 12 个月的随访中，儿童报告的创伤后应激障碍症状具有唯一的显着效应，g = - 0.37 (95% CI = - 0.67; - 0.07)：结论：与对照组相比，需要照顾者参与的干预措施能更有效地减轻症状。结论：与对照组相比，需要照顾者参与的干预措施能更大程度地减轻症状，应进一步研究其有效性的决定因素。

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来源期刊

Clinical Child and Family Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

10.50

自引率

4.30%

发文量

期刊介绍： Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.